Provider Demographics
NPI:1295947224
Name:CARTER, JAMES JAY (PSYD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JAY
Last Name:CARTER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 READING BLVD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609
Mailing Address - Country:US
Mailing Address - Phone:610-670-4433
Mailing Address - Fax:610-670-4623
Practice Address - Street 1:4687 PHEASANT RUN
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-3380
Practice Address - Country:US
Practice Address - Phone:610-779-7761
Practice Address - Fax:610-779-4188
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007034L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist